ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (1): 62-64.doi: 10.3969/j.issn.1674-3865.2018.01.018

• 临床研究 • 上一篇    下一篇

300例低温等离子辅助鼻内窥镜儿童腺样体及扁桃体切除术体会

刘志建,张新利   

  1. 110032 沈阳，沈阳市儿童医院耳鼻喉科
  • 出版日期:2018-02-25 发布日期:2018-03-23
  • 通讯作者: 刘志建，E-mail：22392002@qq.com
  • 作者简介:刘志建（1978-），男，副主任医师。研究方向：儿童耳鼻喉疾病的治疗

Experience in tonsillectomy and adenoidectomy with low-temperature plasma knife under nasal endoscope in 300 cases of children

LIU Zhijian，ZHANG Xinli   

  1. Department of Otorhinolaryngology, Shenyang Children's Hospital, Shenyang 110032,China
  • Online:2018-02-25 Published:2018-03-23

PDF (PC)

307

摘要：
目的
分析应用低温等离子刀完整切除腺样体及扁桃体患儿术中、术后的效果。
方法
选取2015年1月至2016年5月在沈阳市儿童医院行腺样体及扁桃体切除术患儿300例，应用低温等离子刀切除扁桃体及腺样体。
结果
应用等离子刀辅助鼻内窥镜切除扁桃体及腺样体手术术中出血少、手术切除精确、手术时间短、术后疼痛少、手术创面及腺样体并发症恢复良好。
结论
应用等离子刀辅助鼻内窥镜切除扁桃体及腺样体手术，临床效果显著，有效减少术中出血量，缩短手术时间，减轻术后疼痛，是治疗扁桃体肥大、腺样体肥大以及由腺样体肥大引起相关并发症非常有效的治疗方法。

关键词: 腺样体肥大, 扁桃体, 低温等离子刀, 鼻内窥镜, 儿童

Abstract:
Objective
To analyze the result of using low-temperature plasma knife to completely excise adenoid and tonsil in children during and after the operation.
Methods
Totally 300 children receiving adenoidectomy and tonsillectomy in Shenyang Children's Hospital From January 2015 to May 2016 were chosen, and low-temperature plasma knife was used in these children.
Results
The use of plasma knife under nasal endoscope in the excision of tonsil and adenoid had the advantage of less bleeding, precise excision, shorter time of operation, less pain after operation and better recovery of wound surface and the complications of adenoid.
Conclusion
The use of plasma knife under nasal endoscope in tonsillectomy and adenoidectomy has significant clinical effect, which can reduce the blood loss, shorten operation time and alleviate the postoperative pain, so it is a very effective treatment for tonsil hypertrophy, adenoid hypertrophy and the complications related to adenoid hypertrophy.

Key words: Adenoid hypertrophy, Tonsil, Low-temperature plasma knife, Nasal endoscopy, Child